IndividualActive
Tiffany Broeckelman, MSPT, CERT MDT
NPI 1194702498 · Sports Physical Therapist · Lenexa, KS
Provider details
- NPI number
- 1194702498
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT, CERT MDT
- Sex
- Female
- License
- 11-02793 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7931 Bond St
Lenexa, KS 66214-1557
Phone: (913) 754-0888
Fax: (913) 754-0891
Approximate (ZIP-level) locationGet directions
Mailing address
6816 W 77th Ter
Overland Park, KS 66204-3161
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.